Accuracy of Ultrasound Jugular Venous Pressure Height in Predicting Central Venous Congestion
Authors: Brett Fischer
Journal: Annals of Internal Medicine (2022)

LettersMay 2022Accuracy of Ultrasound Jugular Venous Pressure Height in Predicting Central Venous CongestionBrett G. Fischer, MDBrett G. Fischer, MDWeill Cornell Medicine, New York, New YorkAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L22-0116 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR: Wang and colleagues (1) present data comparing point-of-care ultrasound jugular venous pressure (uJVP) with direct measurement of right atrial pressure (RAP) for the diagnosis of elevated central venous pressure (CVP). The authors recommend a cutoff of 9 cm or greater for uJVP. I offer an alternative interpretation of their results that clinicians may find more useful.Tests with multiple possible results (such as uJVP) are better interpreted with multiple cut points rather than a forced dichotomy around a single point (2, 3). A test's receiver-operating characteristic curve makes this easy: The slope for any given range of ...References1. Wang L, Harrison J, Dranow E, et al. Accuracy of ultrasound jugular venous pressure height in predicting central venous congestion. Ann Intern Med. 2022;175:344-51. [PMID: 34958600] doi:10.7326/M21-2781 LinkGoogle Scholar2. Baduashvili A, Guyatt G, Evans AT. ROC anatomy—getting the most out of your diagnostic test. J Gen Intern Med. 2019;34:1892-98. [PMID: 31270785] doi:10.1007/s11606-019-05125-0 CrossrefMedlineGoogle Scholar3. Furukawa TA, Strauss SE, Bucher HC, et al. Diagnostic tests. In: Guyatt G, Rennie D, Meade MO, et al. Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice. 3rd ed. McGraw-Hill Education; 2015:350-4. Google Scholar Author, Article, and Disclosure InformationAffiliations: Weill Cornell Medicine, New York, New YorkDisclosures: The author has reported no disclosures of interest. The form can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L22-0116.Correction: This article was amended on 28 June 2022 to correct the author's name. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAccuracy of Ultrasound Jugular Venous Pressure Height in Predicting Central Venous Congestion Libo Wang , Jonathan Harrison , Elizabeth Dranow , Nijat Aliyev , and Lillian Khor Accuracy of Ultrasound Jugular Venous Pressure Height in Predicting Central Venous Congestion Ahmad Sabry Saleh Accuracy of Ultrasound Jugular Venous Pressure Height in Predicting Central Venous Congestion Libo Wang , Jonathan Harrison , Elizabeth Dranow , Nijat Aliyev , and Lillian Khor Metrics May 2022Volume 175, Issue 5Page: W53KeywordsArea under the curveCatheterizationJugular venous pulseNegative predictive valueObesityOverweightPositive predictive valueReceiver operating characteristic curveSpecificityUltrasound imaging ePublished: 17 May 2022 Issue Published: May 2022 Copyright & PermissionsCopyright © 2022 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...